Define a mass casualty incident and the unique challenges of an mci understand the differences between daytoday triage and triage during an mci. Pediatric triage, a system to jumpstart your triage of young patients at mcis. Another algorithmic triage strategy s l i d e 3 goals consider the need for resource allocation in disasters outline the prehospital, primary disaster. The maryland institute for emergency medical services system miemss provides a triage training program with information specific to initial triage response in maryland. Jumpstart the purpose of this program is to provide an educational module related to pediatric disaster triage concepts and the jumpstart algorithm.
If apnea persists, tag patient deceasednonsalvageable and move on. Children present both the physiologic problems identified above and an emotional challenge to the responders. Give a triage report to command triage to commandwe have patients, 4 immediate, 5 delayed, 3 minor and 1 dead. Familiarity with the start and jumpstart triage paradigms are essential to quick and. This step replaces the initial use of triage tags and will save considerable time in the initial triage of victims during a multicasualty incident. The jumpstart pediatric triage mci triage tool usually shortened to jumpstart is a variation of the simple triage and rapid treatment start triage system. Triage, monitoring and treatment of people exposed to ionising radiation following a malevolent act pdf 11 mb tmt handbook partners, march 2009 comment. List three reasons a pa startjumpstart triage algorithm for pediatric patients ages birth 14 years able to walk.
Product price list disaster management triage tags and. Start triage is a system designed for emergency medical response in disasters where there are multiple victims. Discuss unique pediatric needsissues in a disaster situation 3. Michigan system protocols mass casualty incidents date. Jumpstart is probably the most commonly used pediatric mass casualty triage algorithm in the us. You place a triage tag on each victim and tear off the colors until the color at the bottom matches the victims classification. Give tracking slips to command give a triage report to command triage to commandwe have patients, 4 immediate, 5 delayed, 3 minor and 1 dead. The quiz uses the start simple triage and rapid transport method principles, but can be related to common principles used everywhere.
The jumpstart pediatric mci field triage tool was developed by lou romig, m. Jumpstart triage system is the most commonly used pediatric mass casualty incident mci triage system in the united states. The tags utilize the color coding system identified above. Triage guidelines including radiation triage guidelines. If no pulse, tag patient deceased nonsalvageable and move on. Jumpstart is an objective pediatric patient mci triage tool developed specifically for the triage of children in the multicasualtydisaster setting. Triage is an ondemand application that authentically simulates a disaster, the purpose of which is to train first responders to correctly act in a real situation. Virginia mass casualty incident management module i. A system to jumpstart your triage of young patients at mcis. Start simple triage and rapid treatment and jumpstart for pediatric patients are utilized in maryland and throughout the united states for initial triage of mass casualty patients. All patients who are able to do this are immediately tagged green minor. Start stands for simple triage and rapid treatment. The general placement location for the tags should be on one of the patients arms. Triage tags should be used on all calls involving 3 or more patients.
Triage tags aide bags blankets 5 patients cue cards for the patients attached in appendix b motivation. Patients able to follow instructions and walk to a. Triage system for emergency medical response and disaster incidents involving multiple victims. If no breathing after airway opening, check for peripheral pulse. Lou romig in principles of mci triage and the start and jumpstart mci triage tools. Aug 29, 2011 start triage is a system designed for emergency medical response in disasters where there are multiple victims. It is used extensively in the united states and canada and is intended to parallel the start system. We aim to bring the highest quality of education possible so we can train up and coming. Region x multiple patient plan start triage jumpstart. Jumpstart pediatric triage algorithm radiation emergency. Region x multiple patient plan start triage jumpstart triage. Children that cannot walk breathing has a pulse red tag. Prehospital care providers will operate in accordance with medical control authority standard operating procedures.
Describe implementation of the region x multiple patient plan. Comparison of paediatric major incident primary triage tools. Triage wallet cards by disaster management systems. Triage treatment transport immediate delayed minimal expectant disaster triage start jumpstart types of triage primary on scene prior to movement or at hospital self transports secondary incident dependent, probably prior to or during transport or upon arrival to hospital. Both systems are used to sort patients into categories at mass casualty incidents mcis. Pediatric emergency medicine at miami childrens hospital in miami, fl in 1995 and modified in 2002.
Mass casualty triage tools such as start and jumpstart should take 23 minutes to complete on each victim. Adult patients are best triaged with the start triage or salt triage protocols. Combined startjumpstart triage algorithm using the js algorithm, evaluate. Triage tags contain these colors so treatment and transport crews can see at a glance which patients have been triaged to which level. Outline the components of the triage process following start and jumpstart triage.
When a triage tag has been utilized, remember to document the tag number in the history portion of your run report. Respiratory rate perfusion mental status yes yes yes no no minor adult deceased delayed pedi secondary triage position upper airway breathing using the js algorithm, evaluate first all children who did not walk under their own power. First be triaged using the appropriate colored ribbon, a triage tag will then be applied later. Use jumpstart for infants through older children 3. Describe the function and process of using color coded smart triage tags 9. Define triage and explain when it is appropriate for use. Triage tags can be used in lieu of a patient care report ems form command will determine when startwill occur. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The jumpstart pediatric triage mci triage tool usually shortened to jumpstart is a. Determining the appropriate system to use in the preadolescent and young teen population can be sometimes challenging, so the current recommendation is. However, jumpstart was designed specifically for triaging children in disaster settings. Disaster triage startjumpstart finger lakes regional training center agenda attendance ground rules presentation scenarios additional resources evaluationcertificate objectives. Triage tags have sections for patient information, vital signs and treatment, and peeloff bar codes for monitoring patients throughout their treatmenttransport. Understand the differences between day today triage and triage during an mci increase the uhs staff awareness of disaster triage create comfort with.
Primary triage is just the first look at an mci victim, similar to the primary initial surveyassessment. Triage ribbon is dispensed from a fanny bag dispenser that will be carried on all first out emergency response vehicles in edc. The triage tag the triage designation is based on a color system. Optimize initial triage of children in the mci setting 2. Disaster triage startjumpstart finger lakes regional resource center kathee tyo, ms, rn coordinatoreducator. Secondary triage evaluate infants first in secondary triage using entire algorithm able to walk. This rations patient treatment efficiently when resources. Pediatrics use for 08 years weigh less than 100 lbs.
Immediately apply the triage tag to the victims wrist or ankle as you first. This information was obtained from the jumpstart pediatric mci triage tool website. This provides an easy, rapid method to apply your triage tags by simply looping and running the tag through the loop. Categorize the triage status of patients utilizing the start.
The jumpstart pediatric mci triage system is designed for triaging infants and young children. Mass casualty, start triage and the smart tag system. Triage is a procedure used by emergency personnel to ration limited medical resources to massive injured people, in which triage tags, are used to 1. The severity of injury and therefore treatment andor transport priority in start triage is sorted by color code. June 5, 2009 page 1 of 12 the purpose of this protocol is to provide a uniform initial response to a mass casualty incident mci. All are initially triaged in the green category, so designated by a triage tag or a green ribbon tied around a wrist. Any local ems system changes to this document must follow the nc oems protocol change policy and be approved by oems. These test questions were adapted from the question bank of dr. During a mass casualty incident you have to have be able to sort patients in order to treat them. Virginia mass casualty incident management module i responder level. Jumpstart was developed in 1995 to be used along with the start triage system and mirrors the structure.
Jul 27, 2012 during a mass casualty incident you have to have be able to sort patients in order to treat them. Identify walking wounded call out and direct to land mark. First responders must use a lemsa approved triage tag to label triaged patients by the. What pediatric disaster strategy is used in your city or state. If there is a peripheral pulse, give 5 mouth to barrier ventilations. Ems triage university of maryland school of medicine. The jumpstart pediatric triage mci triage tool is a variation of the s. Discuss incorporating pediatrics into your disaster planning 2. Start simple triage and rapid treatment developed jointly by newport beach ca fire and marine dept. Lou romig to triage children in a mass casualty setting. Enabling objec startjumpstart triage algorithm for pediatric patients ages birth 14 years able to walk.
We saw the need to bring emergency response training to the 21st century. Pediatric doesnt obey commands obeys commands adult a, v, or p appropriatepediatric adult p inappropriate posturing or u no palpable pulse pediatric cr 2 sec. Of course, triage is a dynamic process and these patients should be re assessed at the treatment area for any deterioration in their condition. By using start triage, patients are sorted based on objective criteria on how they present.
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